| NPI | 1790714491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKILIS MIKE THEOHARIDIS President 816-436-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MO 000747) |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-03-29 |